Tied to company’s commitment to lower customers’ opioid use by 25 percent in three years

BLOOMFIELD, Conn., 18 November, 2016 - In keeping with its commitment to lower its customers’ opioid use by 25
percent within three years, Cigna (NYSE: CI) is asking medical practices
to join the effort by signing a pledge to reduce opioid prescribing and
to treat opioid use disorder as a chronic condition.

The 160 Cigna Collaborative Care medical groups, which collectively
encompass more than 82,000 doctors, will also be asked to commit to
taking a specific action to reduce opioid use while improving pain
management and substance use treatment where appropriate. Progress will
be tracked as part of the quarterly reviews that play an important role
in Cigna Collaborative Care arrangements.

“Improving the quality of care and delivering better health outcomes for
our customers are at the core of Cigna Collaborative Care. Adopting this
pledge is an opportunity to shine a light on one of the biggest crises
we face in health care today and enables us to work collaboratively with
our clinical partners to find effective solutions,” said Dick Salmon,
M.D., Cigna's vice president and national medical executive for
performance measurement and improvement.

“It’s not enough to just sign the pledge,” Salmon added. “We’re counting
on these groups to commit to taking specific actions and we will discuss
results as part of our ongoing quality reviews.”

The following medical groups have agreed to sign the Cigna opioid pledge
and have committed to undertaking a specific quality initiative to
implement it:

Cigna Medical Group; Phoenix

New West Physicians; Denver

Northwestern Medicine Physician Partners; Chicago

Presence Health Partners; Chicago

Privia Medical Group; Arlington, Va.

Texas Children’s Pediatrics; Houston

Wellmont Medical Associates; Kingsport, Tenn.

Salmon said he hopes that the actions of these early adopters will
encourage other Cigna Collaborative Care medical groups to commit to the
pledge. The goal is to have most of them signed up by the end of the
year with the remaining commitments coming in early 2017. Cigna also
plans to roll out the pledge more broadly next year to other doctors
that participate in its networks.

Cigna's pledge asks medical groups to:

Encourage individual doctors within the group to care for their
patients consistent with the Surgeon General’s “Turn the Tide” pledge.
This includes commitments to: learn alternative ways to treat pain
safely and effectively; screen patients for opioid use disorder;
provide or connect patients to evidence-based treatment; and talk
about and treat substance use disorder as a chronic illness, not a
moral failing.

Take steps to improve the quality and coordination of care for
patients being treated with opioids.

Reduce opioid prescriptions by prescribing alternative therapies when
they are available.

Cigna will support medical groups that make this commitment by
establishing a public database of opioid quality improvement initiatives
that will be a resource for groups evaluating their next steps in
improving patient care.

“The resources we share with our provider partners will benefit all of
their patients, not just those who are Cigna customers,” Salmon said.
“Cigna is committed to reducing the burden of substance use disorders
for all Americans.”

At the same time, Cigna is also expanding its support of physicians who
treat Cigna customers. Using its claims data and analytics, Cigna will
alert these doctors when their opioid prescribing patterns are not
consistent with CDC guidelines. The company will also provide resources
to physicians so they can improve care for patients taking opioids for
long periods of time, including referrals into chronic pain management
or substance use disorder treatment programs.

“The misuse of opioids is taking a terrible toll on our country. We
simply must find solutions, but that’s not something that any one of us
can do alone,” Salmon said. “Through this pledge we invite medical
groups to join us and participate actively with us. By working together,
we hope to identify specific actions that can break this national
epidemic.”

About Cigna

Cigna Corporation (NYSE: CI) is a global health service company
dedicated to helping people improve their health, well-being and sense
of security. All products and services are provided exclusively by or
through operating subsidiaries of Cigna Corporation, including
Connecticut General Life Insurance Company, Cigna Health and Life
Insurance Company, Life Insurance Company of North America and Cigna
Life Insurance Company of New York. Such products and services include
an integrated suite of health services, such as medical, dental,
behavioral health, pharmacy, vision, supplemental benefits, and other
related products including group life, accident and disability
insurance. Cigna maintains sales capability in 30 countries and
jurisdictions, and has more than 90 million customer relationships
throughout the world. To learn more about Cigna®, including links to
follow us on Facebook or Twitter, visit www.cigna.com.

Individual and family medical and dental insurance plans are insured by Cigna Health and Life Insurance Company (CHLIC), Cigna HealthCare of Arizona, Inc., Cigna HealthCare of Illinois, Inc., and Cigna HealthCare of North Carolina, Inc. Group health insurance and health benefit plans are insured or administered by CHLIC, Connecticut General Life Insurance Company (CGLIC), or their affiliates (see a listing of the legal entities that insure or administer group HMO, dental HMO, and other products or services in your state). Group Universal Life (GUL) insurance plans are insured by CGLIC. Life (other than GUL), accident, critical illness, hospital indemnity, and disability plans are insured or administered by Life Insurance Company of North America, except in NY, where insured plans are offered by Cigna Life Insurance Company of New York (New York, NY). All insurance policies and group benefit plans contain exclusions and limitations. For availability, costs and complete details of coverage, contact a licensed agent or Cigna sales representative. This website is not intended for residents of New Mexico.

Selecting these links will take you away from Cigna.com to another website, which may be a non-Cigna website. Cigna may not control the content or links of non-Cigna websites. Details